Evidence map›Paper›PMID 32980585›Full record

ArticleThe journal of allergy and clinical immunology. In practice

Asthma Disparities During the COVID-19 Pandemic: A Survey of Patients and Physicians.

Alan P Baptist, Desmond Lowe, Nadeen Sarsour, Hannah Jaffee, Sanaz Eftekhari, Laurie M Carpenter, Priya Bansal

Open access · bronzeAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
9.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 40 citations in OpenAlex.

  1. Implementation of Coach McLungsBMC medical informatics and decision making · 2022
    Trial
  2. Trial
  3. Article
  4. Black Emerging Adults With Uncontrolled Asthma: A Qualitative Study.The journal of allergy and clinical immunology. In practice · 2024
    Article
  5. Review
  6. Reduced asthma morbidity during COVID-19 in minority children: is medication adherence a reason?The Journal of asthma : official journal of the Association for the Care of Asthma · 2023
    Article
  7. Article
  8. A multilevel perspective on goals, barriers, and facilitators of school-based asthma management.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022
    Article
  9. SARS-Cov-2 Infection in Severe Asthma Patients Treated With Biologics.The journal of allergy and clinical immunology. In practice · 2022
    Article
  10. Rural and urban differences in perceptions, behaviors, and health care disruptions during the COVID-19 pandemic.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. The Magnification of Health Disparities During the COVID-19 Pandemic.The journal of allergy and clinical immunology. In practice · 2022
    Article
  15. Review
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Alan P BaptistDivision of Allergy and Clinical Immunology, University of Michigan, Ann Arbor, Mich. Electronic address: abaptist@med.umich.edu.
Desmond LoweUniversity of Michigan Medical School, Ann Arbor, Mich.
Nadeen SarsourUniversity of Michigan Medical School, Ann Arbor, Mich.
Hannah JaffeeAsthma and Allergy Foundation of America, Arlington, Va.
Sanaz EftekhariAsthma and Allergy Foundation of America, Arlington, Va.
Laurie M CarpenterDivision of Allergy and Clinical Immunology, University of Michigan, Ann Arbor, Mich.
Priya BansalAsthma and Allergy Wellness Center, St Charles, Ill.
University of Michigan–Ann Arbor · USAsthma and Allergy Foundation of America · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coronavirus disease 2019 (COVID-19) pandemic has demonstrated significantly worse outcomes for minority (black and Hispanic) individuals. Understanding the reasons for COVID-19-related disparities among patients with asthma has important public health implications.

objectiveTo determine factors contributing to health disparities in those with asthma during the COVID-19 pandemic.

methodsAn anonymous survey was sent through social media to adult patients with asthma, and a separate survey was sent to physicians who provide asthma care. The patient survey addressed demographic information including socioeconomic status, asthma control, and attitudes/health behaviors during COVID-19.

resultsA total of 1171 patients (10.1% minority individuals) and 225 physicians completed the survey. Minority patients were more likely to have been affected by COVID-19 (eg, became unemployed, lived in a community with high COVID-19 cases). They had worse asthma control (increased emergency visits for asthma, lower Asthma Control Test score), were more likely to live in urban areas, and had a lower household income. Initial differences in attitudes and health behaviors disappeared after controlling for baseline demographic features. Institutional racism was demonstrated by findings that minority individuals were less likely to have a primary care physician, had more trouble affording asthma medications due to COVID-19, and were more likely to have lost health insurance because of COVID-19, and that 25% of physicians found it more challenging to care for black individuals with asthma during COVID-19.

conclusionsDifferences in socioeconomic status and the effects of institutional racism, but not health behaviors, sources of information, or attitudes, are playing a role in disparities seen for patients with asthma during COVID-19.

Indexed as

Health Status DisparitiesRacismAdultAnti-Asthmatic AgentsAsthmaBetacoronavirusBlack or African AmericanCoronavirus InfectionsCOVID-19FemaleHealthcare DisparitiesHealth Knowledge, Attitudes, PracticeHispanic or LatinoHumansMaleMedically UninsuredAnti-Asthmatic AgentsAsthmaAttitudesCOVID-19Health disparitiesImplicit biasInstitutional racismStructural racismSurvey

Identifiers

PMID32980585
PMCPMC7836887
OpenAlexW3088591101

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.